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首页> 外文期刊>Neurosurgical focus >Microendoscopic decompression for cervical spondylotic myelopathy
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Microendoscopic decompression for cervical spondylotic myelopathy

机译：用于颈椎椎间盘突出的微观镜片减压

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Object: Cervical spondylotic myelopathy (CSM) is a common cervical degenerative disease that affects the elderly population. Spinal cord decompression is achieved through various anterior and posterior approaches including anterior cervical decompression and fusion, laminectomy, laminoplasty, and combined approaches. The authors describe another option, minimally invasive endoscopically assisted decompression of stenosis (MEDS), which obviates the need for muscle dissection and disruption of the posterior tension band, a cause of postlaminectomy kyphosis. Methods. The authors conducted a retrospective study of 10 patients with CSM who underwent MEDS from January 2002 through July 2012. Data were collected on demographics, preoperative and postoperative Nurick scores, postoperative Odom scores, and preoperative and postoperative Cobb angles. Results. The mean patient age (± SD) was 67 ± 7.7 years; 8 patients were male. The average number of disc levels operated on was 2.2 (range 1-4). The mean Nurick score was 1.6 ± 0.7 preoperatively and improved to 0.3 ± 0.7 postoperatively (p < 0.0005). The postoperative Odom scores indicated excellent outcomes for 4 patients, good for 3, fair for 2, and poor for 1. The average preoperative focal Cobb angle at the disc levels operated on was -0.43° ± 1.9°. The average Cobb angle at the last follow-up visit was 0.25° ± 1.6° (p = 0.6). The average follow-up time was 18.9 ± 32.1 months. There were no intraoperative or postoperative complications. Conclusions. For selected patients with CSM, whose pathologic changes are primarily posterior and who have acceptable preoperative lordosis, MEDS is an alternative to open laminectomy and laminoplasty.
机译：目的：颈椎椎间盘突出（CSM）是一种影响老年人口的常见颈椎退行性疾病。通过各种前宫颈减压和融合，椎板切除术，层压成形术和组合方法，实现脊髓减压。作者描述了另一种选择，微创内窥镜上辅助减压减压狭窄（MEDS），这消除了肌肉解剖和后张力带中断的需要，突出的脊椎切除症的原因。方法。作者对来自2002年1月至2012年7月的CSM患者进行了回顾性研究。收集了人口统计数据，术前和术后Nurick评分，术后奥多姆评分和术前和术后Cobb角度。结果。平均患者年龄（±SD）为67±7.7岁; 8名患者是男性。 ON运行的平均光盘水平数为2.2（范围1-4）。术前，扁平的扁平评分为1.6±0.7，术后增加至0.3±0.7（P <0.0005）。术后odom分数表明4名患者的优异结果，适用于3，2，2且差。较差的磁盘水平的平均术前焦距角度为-0.43°±1.9°。最后一次后续访问的平均COBB角度为0.25°±1.6°（P = 0.6）。平均随访时间为18.9±32.1个月。没有术中或术后并发症。结论。对于患有CSM的选定患者，其病理变化主要是后姿势，谁具有可接受的术前神灵，MEDS是开放椎板切除和层压成形术的替代方案。

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